Question 1

The home care RT notices that the patient is producing more sputum than usual.What is the most likely cause?

Accepted Answer

A) Improved vital capacity 
B) An allergic reaction 
C) A respiratory infection 
D) Heart failure 
A) Improved vital capacity 
B) An allergic reaction 
C) A respiratory infection 
D) Heart failure C

Question 2

What is the role of the RT in evaluating psychosocial issues with the home care patient?

Accepted Answer

A) The home care RT should not get involved in psychosocial issues. 
B) The home care RT should observe and document any psychosocial issues. 
C) Any such issues that are observed should be communicated to the physician. 
D) Both b and c are correct. 
A) The home care RT should not get involved in psychosocial issues. 
B) The home care RT should observe and document any psychosocial issues. 
C) Any such issues that are observed should be communicated to the physician. 
D) Both b and c are correct. D

Question 3

What is the most common respiratory care modality applied in the home care setting?

Accepted Answer

A) Intermittent positive pressure breathing (IPP
B)  
B) Oxygen therapy 
C) Nebulizer therapy 
D) Continuous positive airway pressure (CPAP) 
A) Intermittent positive pressure breathing (IPP
B)  
B) Oxygen therapy 
C) Nebulizer therapy 
D) Continuous positive airway pressure (CPAP) B

Question 4

If the home care patient is suffering from a poor appetite, what could be the cause?

Accepted Answer

A) Depression 
B) Dyspnea 
C) Infection 
D) All of the above 
A) Depression 
B) Dyspnea 
C) Infection 
D) All of the above

Question 5

Your home care patient has a chronic neuromuscular disease, and ventilation is a concern.Which of the following tests would be most helpful in evaluating this?

Accepted Answer

A) Chest auscultation 
B) Pulse oximetry 
C) ETCO₂ 
D) Peak flow 
A) Chest auscultation 
B) Pulse oximetry 
C) ETCO₂ 
D) Peak flow

Question 6

Which of the following should be identified by an RT during the initial home care interview of the patient and caregivers?

Accepted Answer

A) Patient smoking history 
B) Current list of medications 
C) Pulmonary risk factors 
D) All of the above 
A) Patient smoking history 
B) Current list of medications 
C) Pulmonary risk factors 
D) All of the above

Question 7

What is the name of the primary organization that accredits home care companies?

Accepted Answer

A) Health Care Committee 
B) The Joint Commission 
C) Medical Examiner's Office 
D) Committee for Health Care 
A) Health Care Committee 
B) The Joint Commission 
C) Medical Examiner's Office 
D) Committee for Health Care

Question 8

Which of the following staff members is least likely to be a member of the home health care team?

Accepted Answer

A) Occupational therapist 
B) Physical therapist 
C) Social worker 
D) Radiation technologist 
A) Occupational therapist 
B) Physical therapist 
C) Social worker 
D) Radiation technologist

Question 9

A visit by a home care RT is required for a patient who is using any of the following types of equipment except:

Accepted Answer

A) An oximeter. 
B) A bland aerosol therapy equipment. 
C) A pneumatic nebulizer. 
D) Oxygen therapy equipment. 
A) An oximeter. 
B) A bland aerosol therapy equipment. 
C) A pneumatic nebulizer. 
D) Oxygen therapy equipment.

Question 10

Which of the following conditions is least likely to be seen and treated by an RT in the home care setting?

Accepted Answer

A) COPD 
B) Pulmonary fibrosis 
C) Sleep-disordered breathing 
D) Burns 
A) COPD 
B) Pulmonary fibrosis 
C) Sleep-disordered breathing 
D) Burns

Question 11

In which of the following skills is it most important for a home care respiratory therapist (RT) to be proficient?

Accepted Answer

A) Decision making. 
B) Time management. 
C) Patient assessment. 
D) Communication and teaching skills. 
A) Decision making. 
B) Time management. 
C) Patient assessment. 
D) Communication and teaching skills.

Question 12

Which of the following is not true of respiratory home care?

Accepted Answer

A) It reduces the number of future hospitalizations. 
B) It provides a higher quality of life for the patient. 
C) It decreases overall expenditures for medical care. 
D) It decreases a patient's ability to independently manage his or her care. 
A) It reduces the number of future hospitalizations. 
B) It provides a higher quality of life for the patient. 
C) It decreases overall expenditures for medical care. 
D) It decreases a patient's ability to independently manage his or her care.

Question 13

Which of the following may cause cognitive impairment of the home care patient and may impede education efforts by an RT?

Accepted Answer

A) Acute hypoxemia 
B) Stroke 
C) Certain medications 
D) All of the above 
A) Acute hypoxemia 
B) Stroke 
C) Certain medications 
D) All of the above

Question 14

What is a common reason why patients with COPD may suffer acute dyspnea during meal preparation?

Accepted Answer

A) They have bronchospasm from the odors. 
B) They remove their oxygen cannula during cooking. 
C) They become nervous about gaining weight. 
D) They are afraid of losing their balance. 
A) They have bronchospasm from the odors. 
B) They remove their oxygen cannula during cooking. 
C) They become nervous about gaining weight. 
D) They are afraid of losing their balance.

Question 15

What should the home care RT do if a patient cannot demonstrate proper use of his metered-dose inhaler (MDI)?

Accepted Answer

A) Contact the physician. 
B) Switch the patient to a small-volume nebulizer. 
C) Discontinue the use of the MDI. 
D) Call the patient's nurse. 
A) Contact the physician. 
B) Switch the patient to a small-volume nebulizer. 
C) Discontinue the use of the MDI. 
D) Call the patient's nurse.

Question 16

For which of the following conditions (which is the third most common cause of death in the United States) are both mortality rates and prevalence rates increasing?

Accepted Answer

A) Chronic obstructive pulmonary disease (COP
D)  
B) Asthma 
C) Pneumonia 
D) Heart failure 
A) Chronic obstructive pulmonary disease (COP
D)  
B) Asthma 
C) Pneumonia 
D) Heart failure

Question 17

After teaching the patient to perform a specific skill for his or her home care, what should the RT do?

Accepted Answer

A) Document the demonstration. 
B) Repeat the demonstration. 
C) Ask for a return demonstration. 
D) Ask the patient if he or she understands. 
A) Document the demonstration. 
B) Repeat the demonstration. 
C) Ask for a return demonstration. 
D) Ask the patient if he or she understands.

Question 18

The primary tools used to conduct a home care patient assessment include all of the following except a:

Accepted Answer

A) stethoscope. 
B) pulse oximeter. 
C) peak flowmeter. 
D) bronchoscope. 
A) stethoscope. 
B) pulse oximeter. 
C) peak flowmeter. 
D) bronchoscope.

Question 19

The RT who assesses the patient to qualify him or her for home oxygen therapy should do all of the following except:

Accepted Answer

A) Be aware of the guidelines and criteria for qualifying the patient for oxygen therapy. 
B) Communicate the process for qualifying for oxygen to the patient. 
C) Be directly involved in assessing the patient to qualify the patient for oxygen therapy. 
D) Be aware of the physical and function limitations the patient has and assess oxygen needs with activity. 
A) Be aware of the guidelines and criteria for qualifying the patient for oxygen therapy. 
B) Communicate the process for qualifying for oxygen to the patient. 
C) Be directly involved in assessing the patient to qualify the patient for oxygen therapy. 
D) Be aware of the physical and function limitations the patient has and assess oxygen needs with activity.

Question 20

What is the primary role of an RT in home care?

Accepted Answer

A) Communicate with other team members 
B) Do the paper work associated with home care 
C) Provide education and equipment setup 
D) Give treatments as needed 
A) Communicate with other team members 
B) Do the paper work associated with home care 
C) Provide education and equipment setup 
D) Give treatments as needed

Exam 20: Home Care Patient Assessment

The home care RT notices that the patient is producing more sputum than usual.What is the most likely cause?

What is the role of the RT in evaluating psychosocial issues with the home care patient?

What is the most common respiratory care modality applied in the home care setting?

If the home care patient is suffering from a poor appetite, what could be the cause?

Your home care patient has a chronic neuromuscular disease, and ventilation is a concern.Which of the following tests would be most helpful in evaluating this?

Which of the following should be identified by an RT during the initial home care interview of the patient and caregivers?

What is the name of the primary organization that accredits home care companies?

Which of the following staff members is least likely to be a member of the home health care team?

A visit by a home care RT is required for a patient who is using any of the following types of equipment except:

Which of the following conditions is least likely to be seen and treated by an RT in the home care setting?

In which of the following skills is it most important for a home care respiratory therapist (RT) to be proficient?

Which of the following is not true of respiratory home care?

Which of the following may cause cognitive impairment of the home care patient and may impede education efforts by an RT?

What is a common reason why patients with COPD may suffer acute dyspnea during meal preparation?

What should the home care RT do if a patient cannot demonstrate proper use of his metered-dose inhaler (MDI)?

For which of the following conditions (which is the third most common cause of death in the United States) are both mortality rates and prevalence rates increasing?

After teaching the patient to perform a specific skill for his or her home care, what should the RT do?

The primary tools used to conduct a home care patient assessment include all of the following except a:

The RT who assesses the patient to qualify him or her for home oxygen therapy should do all of the following except:

What is the primary role of an RT in home care?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Neurologic Assessment

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Documentation

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